2026 Wildfires — Member Support Form

Share Your Experience

If you have been impacted by the wildfires, please use this form to tell us what you are facing. Your information helps Council 2 better understand members' needs and respond with care, urgency, and solidarity.

We are committed to monitoring conditions closely, listening to our members, and standing with you through meaningful support.

Contact Information

First Name *

Last Name *

Your Phone Number *

Your Email Address *

Union/Employer *

Union Local #

What is the best way to contact you? *

I agree to receive text messages from Council 2 at the phone number provided about this support request.

Your Home Address *

Address Line 1 *

City *

State *

Zip Code *

Temporary Address (Optional)

Complete this section if you have been displaced from your home.

Address Line 1

Address Line 2

City

State

Zip Code

Losses and Support Needed

Check all the losses that apply *

Please describe the other loss *

Number of People in Your Household *

Please explain your hardship in detail and prioritize your greatest needs *

Today's Date *

Privacy Notice

Please note that by submitting your request, you agree that Council 2 will use the information you provide to understand member needs related to the 2026 wildfires and to coordinate an appropriate response and report out the aggregate needs of our members at this time, as well as categorizing the general types of needs that were met by contributions from this fund. Your personal information and supporting documents are stored securely and are available only to authorized Council 2 personnel for purposes of verification of need and funds distribution. They will be retained in accordance with Council 2's applicable records-retention practices.

Please do not include Social Security numbers, bank account numbers, or other personal identifying information not specifically requested by this form.

I have read and agree to the Privacy Notice. *